Gordon C Davis, DO | |
9601 Jamaica Ave Lowr Level, Woodhaven, NY 11421-2295 | |
(718) 641-4900 | |
(718) 641-4905 |
Full Name | Gordon C Davis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 9601 Jamaica Ave Lowr Level, Woodhaven, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124153101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 171745 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boulevard Multispecialty Medical Pc | 4880586502 | 3 |
Entity Name | Boulevard Multispecialty Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730245366 PECOS PAC ID: 4880586502 Enrollment ID: O20040326001409 |
Mailing Address | Practice Location Address |
---|---|
Gordon C Davis, DO 10149 Woodhaven Blvd, Ozone Park, NY 11416-2300 Ph: (718) 641-4900 | Gordon C Davis, DO 9601 Jamaica Ave Lowr Level, Woodhaven, NY 11421-2295 Ph: (718) 641-4900 |
Dr. Giovanni Marciano, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-805-0037 Fax: 718-849-3737 | |
Dr. Glenn J Muraca, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 Jamaica Ave, Woodhaven, NY 11421 Phone: 718-805-0037 Fax: 718-849-3737 | |
Dr. Khurram Surani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8615 Forest Pkwy, Woodhaven, NY 11421 Phone: 718-846-1414 Fax: 718-849-0062 | |
Syed Rahman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89-12 Woodhaven Blvd, Woodhaven, NY 11421 Phone: 718-441-2640 Fax: 718-846-0904 |